Individual provider Active NPI

Kwasi Gyan Ayim-Darko, PHARMD

  • Pharmacist
  • Douglasville, GA
National Provider Identifier
1497329338
Registry record updated May 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
022898 Issued in GA
Practice address
3615 Lindsy Brooke CT
Douglasville, GA 30135-3094
Phone
(404) 988-1322
NPI assigned
May 15, 2021
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 022898 GA Primary

Addresses

NPPES NPI Registry

Primary practice location

3615 Lindsy Brooke CT
Douglasville, GA 30135-3094

Mailing address

3615 Lindsy Brooke CT
Douglasville, GA 30135-3094
Phone (404) 988-1322

Electronic endpoints 1

NPPES NPI Registry
TypeEndpointUseAffiliation
CONNECT URL Billyjeep2000@yahoo.com Direct

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 15, 2021.

{
    "created_epoch": "1621036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621036800000",
    "number": "1497329338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3615 LINDSY BROOKE CT",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301353094",
            "telephone_number": "404-988-1322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3615 LINDSY BROOKE CT",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301353094",
            "telephone_number": "404-988-1322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYIM-DARKO",
        "first_name": "KWASI",
        "middle_name": "GYAN",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-15",
        "last_updated": "2021-05-15",
        "certification_date": "2021-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "022898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Billyjeep2000@yahoo.com",
            "affiliation": "N",
            "endpointDescription": "private email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3615 Lindsy Brooke Ct",
            "city": "Douglasville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301353094",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Douglasville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.